Patient Access Representative II

Tenet Healthcare Corporation•Birmingham, AL

5d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through scheduling, registration, patient pre-admission and admission, reception, and discharge functions. The role obtains accurate patient demographic information and uses appropriate, compliant methods to collect patient liabilities before, during, and after services. The position is based at Princeton Medical Center, with a shift of 6:00 AM to 6:00 PM and rotating weekends; availability may be needed on other days and hours to meet departmental or system demands. The representative greets patients and provides customer service according to Conifer Standards of Care; completes registrations; handles required financial and cash-control processes; explains and obtains legal and hospital forms; scans protected health information; and prepares patient information packets for upcoming services. The role may also help schedule diagnostic procedures and provide appointment instructions. Other duties include educating patients about financial liabilities, reconciling hospital cash and recording secured payments, verifying medical necessity and insurance coverage, completing financial-clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. The representative may also coordinate post-discharge care. The role requires work in at least two Patient Access service areas, including the Emergency Department, and may involve patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer-service role.
Minimum typing speed of 35 words per minute.
Working knowledge of a PC, CRT, and printer.
Customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use appropriate negotiation techniques to collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Ability to interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Able to sit at a computer terminal for extended periods; frequently stand, sit, and walk for prolonged periods; occasionally lift or carry up to 25 pounds; and occasionally push a wheelchair.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
0–1 year of administrative experience in a medical facility, health insurance, or a related area.
Some college coursework.

Responsibilities

Greet patients and provide customer service in accordance with Conifer Standards of Care.
Complete patient registration and obtain accurate demographic information.
Follow financial and cash-control policies and procedures, including hospital cash reconciliation and secured payment entry.
Explain and obtain hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Assist with scheduling diagnostic procedures, entering scheduling data, providing appointment instructions, and completing related tasks as needed.
Educate patients about financial liabilities and professionally collect amounts owed before, during, and after the date of service.
Complete medical-necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility.
Complete assigned registration financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Work in at least two Patient Access service areas, including the Emergency Department.
Resolve physician-office and patient issues and build collaborative relationships with internal and external clients.